目的探讨急性脑梗死患者行血管内介入治疗后应用依达拉奉注射液的疗效及安全性。方法选取行超选择性动脉溶栓术治疗的128例急性脑梗死患者,应用随机数字表法分为对照组和观察组,各64例。对照组行超选择性动脉溶栓术治疗后给予降脂和抗血小板凝集干预,观察组在对照组基础上静脉注射依达拉奉干预。比较两组患者干预14 d后的临床疗效和不良反应发生情况,美国国立卫生研究院卒中量表(NIHSS)评分和血清自由基含量。结果干预14 d后,观察组疗效优于对照组,临床总有效率高于对照组(98.44% 比84.38%)(均P<0.05);两组NIHSS评分和·O2、·OH、·ONOO-、·ON血清自由基含量均较介入术后明显下降,且观察组明显低于对照组(均P<0.05)。结论急性脑梗死血管内介入治疗后应用依达拉奉注射液进行干预效果显著,明显改善患者的神经功能,降低血清自由基含量,且安全性高,值得在临床推广。
ObjectiveTo explore the efficacy and safety of edaravone injection after intravascular interventional therapy in patients with acute cerebral infarction. MethodsA total of 128 patients with acute cerebral infarction performed with superselective arterial thrombolysis were selected and divided into control group or observation group by random number table method, with 64 cases in each group. The control group was administered lipid-lowering and anti-platelet aggregation intervention after superselective arterial thrombolysis, based on which the observation group was given intravenous edaravone injection. The clinical efficacy and the prevalence of adverse reactions were compared between the two groups, and the National Institutes of Health Stroke Scale(NIHSS) score and the content of serum free radicals were analyzed 14 days after intervention. ResultsAfter 14 days of intervention, the efficacy of the observation group was superior to the control group, and the total clinical effective rate in the observation was higher than that in the control( 98.44% vs. 84.38%) (all P<0.05); the NIHSS score and the content of serum free radicals including ·O2, ·OH, ·ONOO- and ·ON decreased significantly in both groups, and were significantly lower in the observation than in the control (all P<0.05). ConclusionThe effect of edaravone injection on acute cerebral infarction after intravascular interventional therapy is prominent, for it can significantly improve the neurological function, reduce the content of serum free radicals, and is of high safety, indicating it is worthy of clinical promotion.